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WO2009111764A3 - Détection d’événement cardiaque aigu dans un dispositif de stimulation cardiaque implantable - Google Patents

Détection d’événement cardiaque aigu dans un dispositif de stimulation cardiaque implantable Download PDF

Info

Publication number
WO2009111764A3
WO2009111764A3 PCT/US2009/036432 US2009036432W WO2009111764A3 WO 2009111764 A3 WO2009111764 A3 WO 2009111764A3 US 2009036432 W US2009036432 W US 2009036432W WO 2009111764 A3 WO2009111764 A3 WO 2009111764A3
Authority
WO
WIPO (PCT)
Prior art keywords
event detection
cardiac
detection parameters
accurate
stimulus device
Prior art date
Application number
PCT/US2009/036432
Other languages
English (en)
Other versions
WO2009111764A2 (fr
Inventor
Jay A. Warren
Venugopal Allavatam
Surekha Palreddy
Rick Sanghera
Original Assignee
Cameron Health, Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cameron Health, Inc filed Critical Cameron Health, Inc
Priority to ES09717991T priority Critical patent/ES2416184T3/es
Priority to JP2010549930A priority patent/JP5457376B2/ja
Priority to CA2717442A priority patent/CA2717442C/fr
Priority to CN200980116886.3A priority patent/CN102056646B/zh
Priority to AU2009221694A priority patent/AU2009221694B2/en
Priority to EP09717991.5A priority patent/EP2268358B1/fr
Publication of WO2009111764A2 publication Critical patent/WO2009111764A2/fr
Publication of WO2009111764A3 publication Critical patent/WO2009111764A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/355—Detecting T-waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/35—Detecting specific parameters of the electrocardiograph cycle by template matching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7253—Details of waveform analysis characterised by using transforms
    • A61B5/726—Details of waveform analysis characterised by using transforms using Wavelet transforms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Signal Processing (AREA)
  • Electrotherapy Devices (AREA)

Abstract

L’invention concerne des procédés, systèmes et dispositifs pour l’analyse d’un signal dans un dispositif de contrôle et de traitement cardiaque implanté tel qu’un défibrillateur implantable. Dans certains exemples illustratifs, des événements détectés sont analysés pour identifier des modifications des amplitudes d’événement détecté. Lorsque les amplitudes d’événement détecté sont différentes les unes des autres, un premier jeu de paramètres de détection peut être invoqué et lorsque les amplitudes d’événement détecté sont similaires, un deuxième jeu de paramètres de détection peut être invoqué. Des procédés supplémentaires déterminent si le pouls calculé est « élevé » ou « bas », puis ils peuvent sélectionner un troisième jeu de paramètres de détection pour une utilisation lorsque le pouls calculé est élevé.
PCT/US2009/036432 2008-03-07 2009-03-06 Détection d’événement cardiaque aigu dans un dispositif de stimulation cardiaque implantable WO2009111764A2 (fr)

Priority Applications (6)

Application Number Priority Date Filing Date Title
ES09717991T ES2416184T3 (es) 2008-03-07 2009-03-06 Detección precisa de eventos cardiacos en un dispositivo de estimulación cardiaca implantable
JP2010549930A JP5457376B2 (ja) 2008-03-07 2009-03-06 埋め込み型心臓刺激デバイスにおける的確な心臓事象検出
CA2717442A CA2717442C (fr) 2008-03-07 2009-03-06 Detection d'evenement cardiaque aigu dans un dispositif de stimulation cardiaque implantable
CN200980116886.3A CN102056646B (zh) 2008-03-07 2009-03-06 可植入的心脏刺激装置中的准确的心脏事件检测
AU2009221694A AU2009221694B2 (en) 2008-03-07 2009-03-06 Accurate cardiac event detection in an implantable cardiac stimulus device
EP09717991.5A EP2268358B1 (fr) 2008-03-07 2009-03-06 Detection d'evenement cardiaque aigu dans un dispositif de stimulation cardiaque implantable

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US3493808P 2008-03-07 2008-03-07
US61/034,938 2008-03-07
US12/399,901 2009-03-06
US12/399,901 US8565878B2 (en) 2008-03-07 2009-03-06 Accurate cardiac event detection in an implantable cardiac stimulus device

Publications (2)

Publication Number Publication Date
WO2009111764A2 WO2009111764A2 (fr) 2009-09-11
WO2009111764A3 true WO2009111764A3 (fr) 2009-11-05

Family

ID=40651800

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/036432 WO2009111764A2 (fr) 2008-03-07 2009-03-06 Détection d’événement cardiaque aigu dans un dispositif de stimulation cardiaque implantable

Country Status (8)

Country Link
US (3) US8565878B2 (fr)
EP (1) EP2268358B1 (fr)
JP (1) JP5457376B2 (fr)
CN (1) CN102056646B (fr)
AU (1) AU2009221694B2 (fr)
CA (1) CA2717442C (fr)
ES (1) ES2416184T3 (fr)
WO (1) WO2009111764A2 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8565878B2 (en) 2008-03-07 2013-10-22 Cameron Health, Inc. Accurate cardiac event detection in an implantable cardiac stimulus device
US8588896B2 (en) 2008-03-07 2013-11-19 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8600489B2 (en) 2008-05-07 2013-12-03 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity

Families Citing this family (86)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5308443B2 (ja) 2007-08-23 2013-10-09 キャメロン ヘルス、 インコーポレイテッド 込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置
WO2009092055A1 (fr) 2008-01-18 2009-07-23 Cameron Health, Inc. Manipulation de données après l'administration d'une stimulation cardiaque dans un dispositif de stimulation cardiaque implantable
US8483841B2 (en) 2008-12-12 2013-07-09 Cameron Health, Inc. Electrode spacing in a subcutaneous implantable cardiac stimulus device
EP2459275B1 (fr) * 2009-06-29 2018-01-10 Cameron Health, Inc. Confirmation adaptative d'une arythmie traitable dans des dispositifs de stimulation cardiaque implantables
US8265737B2 (en) 2009-10-27 2012-09-11 Cameron Health, Inc. Methods and devices for identifying overdetection of cardiac signals
US8831711B2 (en) 2012-06-04 2014-09-09 Cameron Health, Inc. Implantable cardiac systems with baseline correction in response to noise detection
US8548573B2 (en) * 2010-01-18 2013-10-01 Cameron Health, Inc. Dynamically filtered beat detection in an implantable cardiac device
WO2011112420A1 (fr) * 2010-03-09 2011-09-15 Cardiac Pacemakers, Inc. Détection de bruit de fréquence temporelle d'électrogramme intracardiaque
US9974944B2 (en) 2010-07-29 2018-05-22 Cameron Health, Inc. Subcutaneous leads and methods of implant and explant
US9962100B2 (en) 2010-08-20 2018-05-08 Cameron Health, Inc. Methods and devices that identify overdetection in implantable cardiac systems
JP5873875B2 (ja) * 2010-10-08 2016-03-01 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 信号処理装置、信号処理システム及び信号処理方法
EP2510975A1 (fr) * 2011-04-14 2012-10-17 BIOTRONIK SE & Co. KG Stimulateur cardiaque
US8588895B2 (en) 2011-04-22 2013-11-19 Cameron Health, Inc. Robust rate calculation in an implantable cardiac stimulus or monitoring device
US9849291B2 (en) 2011-06-09 2017-12-26 Cameron Health, Inc. Antitachycardia pacing pulse from a subcutaneous defibrillator
US8750998B1 (en) * 2012-12-06 2014-06-10 Medtronic, Inc. Effective capture test
WO2014126934A1 (fr) 2013-02-18 2014-08-21 Cardiac Pacemakers, Inc. Dispositif médical pour l'adaptation d'algorithme à un impact externe sur les données
CN105208928B (zh) 2013-03-11 2018-10-19 卡梅伦保健公司 实施心律失常检测双重标准的设备
US9579065B2 (en) 2013-03-12 2017-02-28 Cameron Health Inc. Cardiac signal vector selection with monophasic and biphasic shape consideration
US10105075B2 (en) 2013-05-21 2018-10-23 Cameron Health, Inc. Implantable cardiac device sensing with refractory period alignment to signal peak
US20150099953A1 (en) * 2013-10-08 2015-04-09 Covidien Lp Methods and systems for triggering physiological measurements
CN103800003B (zh) * 2014-01-21 2016-10-05 杭州电子科技大学 一种心电检测方法及检测仪
US9788742B2 (en) 2014-02-04 2017-10-17 Cameron Health, Inc. Impedance waveform monitoring for heart beat confirmation
US9526908B2 (en) 2014-04-01 2016-12-27 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US10376705B2 (en) 2014-04-01 2019-08-13 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9808640B2 (en) 2014-04-10 2017-11-07 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors
US9352165B2 (en) * 2014-04-17 2016-05-31 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US10252067B2 (en) 2014-04-24 2019-04-09 Medtronic, Inc. Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device
US10244957B2 (en) 2014-04-24 2019-04-02 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US9795312B2 (en) 2014-04-24 2017-10-24 Medtronic, Inc. Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device
US10278601B2 (en) 2014-04-24 2019-05-07 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US10226197B2 (en) 2014-04-25 2019-03-12 Medtronic, Inc. Pace pulse detector for an implantable medical device
US10448855B2 (en) 2014-04-25 2019-10-22 Medtronic, Inc. Implantable medical device (IMD) sensing modifications responsive to detected pacing pulses
US10154794B2 (en) 2014-04-25 2018-12-18 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) tachyarrhythmia detection modifications responsive to detected pacing
US9610025B2 (en) 2014-07-01 2017-04-04 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US9486637B2 (en) 2014-07-24 2016-11-08 Medtronic, Inc. Method and apparatus for accurate separation of supraventricular tachycardia from ventricular tachycardia during posture changes
US9924885B2 (en) 2014-07-24 2018-03-27 Medtronic, Inc. Rhythm discriminator with immunity to body posture
US9668665B2 (en) 2014-08-13 2017-06-06 Cameron Health, Inc. Methods and implantable devices for detecting arrhythmia
US9554714B2 (en) 2014-08-14 2017-01-31 Cameron Health Inc. Use of detection profiles in an implantable medical device
US9451893B2 (en) 2014-08-18 2016-09-27 Cameron Health, Inc. Calculation of self-correlation in an implantable cardiac device
EP3185952B1 (fr) * 2014-08-28 2018-07-25 Cardiac Pacemakers, Inc. Système implantable pour le suivi du rythme cardiaque et un procédé associé pour déclencher une période de suppression par un second dispositif
US10369372B2 (en) 2014-10-21 2019-08-06 Medtronic, Inc. Recovery of cardiac event sensing and rhythm detection following electrical stimulation pulse delivery
CN107405491B (zh) * 2015-01-30 2021-06-01 心脏起搏器股份公司 生理事件检测和数据存储
US9603543B2 (en) * 2015-02-18 2017-03-28 Medtronic, Inc. Method and apparatus for atrial arrhythmia episode detection
US9993171B2 (en) 2015-04-08 2018-06-12 Cameron Health, Inc. Automated screening methods and apparatuses for implantable medical devices
US10617402B2 (en) 2015-07-22 2020-04-14 Cameron Health, Inc. Minimally invasive method to implant a subcutaneous electrode
US10792505B2 (en) 2015-08-17 2020-10-06 Cardiac Pacemakers, Inc. Low energy conversion of ventricular tachycardia in a subcutaneous defibrillator
US9968787B2 (en) 2015-08-27 2018-05-15 Cardiac Pacemakers, Inc. Spatial configuration of a motion sensor in an implantable medical device
US9956414B2 (en) 2015-08-27 2018-05-01 Cardiac Pacemakers, Inc. Temporal configuration of a motion sensor in an implantable medical device
US10264989B2 (en) 2015-10-23 2019-04-23 Cardiac Pacemakers, Inc. Signal quality monitoring for multiple sense vectors in cardiac devices
US10426405B2 (en) 2015-12-02 2019-10-01 Cardiac Pacemakers, Inc. Methods and devices combining multiple cardiac rate measurements with activation and arrhythmia analysis correction
US10123742B2 (en) 2015-12-02 2018-11-13 Cardiac Pacemakers, Inc. Methods and devices combining multiple cardiac rate measurements with interval correction and arrhythmia decision bypass
US10149627B2 (en) 2015-12-02 2018-12-11 Cardiac Pacemakers, Inc. Automatic determination and selection of filtering in a cardiac rhythm management device
CN108135522B (zh) 2016-01-16 2022-06-07 Zoll医疗公司 Ecg数据中的可电击节律或不可电击节律的快速识别
US9956423B2 (en) * 2016-04-27 2018-05-01 Medtronic, Inc. System and method for sensing and detection in an extra-cardiovascular implantable cardioverter defibrillator
US10252071B2 (en) * 2016-04-29 2019-04-09 Medtronic, Inc. Multi-threshold sensing of cardiac electrical signals in an extracardiovascular implantable cardioverter defibrillator
WO2017192294A1 (fr) * 2016-05-03 2017-11-09 Cardioinsight Technologies, Inc. Détection de synchronisation de conduction
CN105943021B (zh) * 2016-05-13 2018-09-21 赵伟 一种可穿戴心脏节律监测装置和心律监测系统
JP6764956B2 (ja) 2016-06-27 2020-10-07 カーディアック ペースメイカーズ， インコーポレイテッド 再同期ペーシング管理に皮下で感知されたｐ波を使用する心臓治療法システム
WO2018009392A1 (fr) 2016-07-07 2018-01-11 Cardiac Pacemakers, Inc. Stimulateur cardiaque sans fil utilisant des mesures de pression pour la vérification de la capture de stimulation
US10780278B2 (en) 2016-08-24 2020-09-22 Cardiac Pacemakers, Inc. Integrated multi-device cardiac resynchronization therapy using P-wave to pace timing
US10870008B2 (en) 2016-08-24 2020-12-22 Cardiac Pacemakers, Inc. Cardiac resynchronization using fusion promotion for timing management
US10758737B2 (en) 2016-09-21 2020-09-01 Cardiac Pacemakers, Inc. Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter
JP7038115B2 (ja) 2016-10-27 2022-03-17 カーディアック ペースメイカーズ， インコーポレイテッド 圧力センサを備えた植込み型医療装置
WO2018081275A1 (fr) 2016-10-27 2018-05-03 Cardiac Pacemakers, Inc. Thérapie de resynchronisation cardiaque à dispositifs multiples avec des améliorations de synchronisation
EP3541471B1 (fr) 2016-11-21 2021-01-20 Cardiac Pacemakers, Inc. Stimulateur cardiaque sans sonde fournissant un traitement de resynchronisation cardiaque
US11207532B2 (en) 2017-01-04 2021-12-28 Cardiac Pacemakers, Inc. Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system
US10849524B2 (en) 2017-02-07 2020-12-01 Cardiac Pacemakers, Inc. Multimode rate and rhythm analysis calculation for cardiac signal quality analysis
US10849522B2 (en) 2017-04-03 2020-12-01 Cardiac Pacemakers, Inc. Modular cardiac rhythm management using Q to LV activation measures
US10589109B2 (en) 2017-04-10 2020-03-17 West Affum Holdings Corp. Wearable cardioverter defibrillator (WCD) system computing patient heart rate by multiplying ECG signals from different channels
EP3648837B1 (fr) * 2017-07-05 2023-10-25 Cardiac Pacemakers, Inc. Système de gestion de données médicales basé sur la priorité
EP3668592B1 (fr) 2017-08-18 2021-11-17 Cardiac Pacemakers, Inc. Dispositif médical implantable avec capteur de pression
US10751526B2 (en) 2017-10-25 2020-08-25 Cardiac Pacemakers, Inc. Subcutaneous lead implantation
CN111295225B (zh) * 2017-11-02 2024-04-19 心脏起搏器股份公司 用于识别希氏束起搏捕获的系统
US11457872B2 (en) 2017-12-01 2022-10-04 Samsung Electronics Co., Ltd. Bio-signal quality assessment apparatus and bio-signal quality assessment method
KR102588906B1 (ko) 2017-12-01 2023-10-13 삼성전자주식회사 생체 신호 품질 평가 장치 및 방법
JP6762334B2 (ja) * 2018-04-09 2020-09-30 ウェスト・アファム・ホールディングス・コーポレーションＷｅｓｔ Ａｆｆｕｍ Ｈｏｌｄｉｎｇｓ Ｃｏｒｐ． 異なるチャネルからのｅｃｇ信号を乗算することによって患者の心拍数を計算する着用型自動除細動器（ｗｃｄ）システム
US20200390355A1 (en) * 2019-06-11 2020-12-17 Vios Medical, Inc. System for detecting qrs complexes in an electrocardiography (ecg) signal
US12036417B2 (en) 2020-02-13 2024-07-16 Cardiac Pacemakers, Inc. High voltage therapy system with transformer primary current control
US11717695B2 (en) 2020-02-13 2023-08-08 Cardiac Pacemakers, Inc. High voltage therapy system with current control
US11931592B2 (en) 2020-02-13 2024-03-19 Cardiac Pacemakers, Inc. Output circuitry for multiple-therapy implantable devices
US11745023B2 (en) 2020-03-12 2023-09-05 Cardiac Pacemakers, Inc. High voltage therapy system with low side control
EP4138695A1 (fr) 2020-04-21 2023-03-01 Boston Scientific Scimed, Inc. Déclenchement d'ecg adaptatif dans un système d'ablation
EP4090249B1 (fr) * 2020-05-19 2023-07-12 Coravie Medical, Inc. Systèmes de surveillance hémodynamique injectables
WO2022076704A1 (fr) 2020-10-08 2022-04-14 Cardiac Pacemakers, Inc. Classification de battements cardiaques permettant d'éviter d'administrer un choc pendant la repolarisation ventriculaire
CN112774033B (zh) * 2021-02-05 2024-08-02 杭州诺为医疗技术有限公司 一种确定植入式闭环系统检测参数的方法、装置及系统
WO2022201518A1 (fr) * 2021-03-26 2022-09-29 日本電信電話株式会社 Dispositif d'évaluation d'état, procédé d'évaluation d'état, et programme

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5891048A (en) * 1996-06-18 1999-04-06 Biotronik Mess- Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Signal detector
US20060116595A1 (en) * 2004-11-29 2006-06-01 Cameron Health, Inc. Method for defining signal templates in implantable cardiac devices
US7330757B2 (en) * 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias

Family Cites Families (226)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4184493A (en) 1975-09-30 1980-01-22 Mieczyslaw Mirowski Circuit for monitoring a heart and for effecting cardioversion of a needy heart
US4457315A (en) 1978-09-18 1984-07-03 Arvin Bennish Cardiac arrhythmia detection and recording
US4300567A (en) 1980-02-11 1981-11-17 Mieczyslaw Mirowski Method and apparatus for effecting automatic ventricular defibrillation and/or demand cardioversion through the means of an implanted automatic defibrillator
US4407288B1 (en) 1981-02-18 2000-09-19 Mieczyslaw Mirowski Implantable heart stimulator and stimulation method
US4693253A (en) 1981-03-23 1987-09-15 Medtronic, Inc. Automatic implantable defibrillator and pacer
US4750494A (en) 1981-05-12 1988-06-14 Medtronic, Inc. Automatic implantable fibrillation preventer
US4450527A (en) 1982-06-29 1984-05-22 Bomed Medical Mfg. Ltd. Noninvasive continuous cardiac output monitor
US4595009A (en) 1984-02-06 1986-06-17 Medtronic, Inc. Protection circuit for implantable cardioverter
US4589420A (en) 1984-07-13 1986-05-20 Spacelabs Inc. Method and apparatus for ECG rhythm analysis
US4679144A (en) 1984-08-21 1987-07-07 Q-Med, Inc. Cardiac signal real time monitor and method of analysis
US4779617A (en) 1986-10-06 1988-10-25 Telectronics N.V. Pacemaker noise rejection system
GB8722899D0 (en) * 1987-09-30 1987-11-04 Kirk D L Fetal monitoring during labour
US4940054A (en) 1988-04-29 1990-07-10 Telectronics N.V. Apparatus and method for controlling multiple sensitivities in arrhythmia control system including post therapy packing delay
US4979110A (en) 1988-09-22 1990-12-18 Massachusetts Institute Of Technology Characterizing the statistical properties of a biological signal
US4989602A (en) 1989-04-12 1991-02-05 Siemens-Pacesetter, Inc. Programmable automatic implantable cardioverter/defibrillator and pacemaker system
US5299119A (en) 1989-07-06 1994-03-29 Qmed, Inc. Autonomic neuropathy detection and method of analysis
US5000189A (en) 1989-11-15 1991-03-19 Regents Of The University Of Michigan Method and system for monitoring electrocardiographic signals and detecting a pathological cardiac arrhythmia such as ventricular tachycardia
US5713926A (en) 1990-04-25 1998-02-03 Cardiac Pacemakers, Inc. Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode
US5203348A (en) 1990-06-06 1993-04-20 Cardiac Pacemakers, Inc. Subcutaneous defibrillation electrodes
US5105810A (en) 1990-07-24 1992-04-21 Telectronics Pacing Systems, Inc. Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing bradycardia support pacing voltages
US5271411A (en) 1990-09-21 1993-12-21 Colin Electronics Co., Ltd. Method and apparatus for ECG signal analysis and cardiac arrhythmia detection
US5351686A (en) 1990-10-06 1994-10-04 In-Line Diagnostics Corporation Disposable extracorporeal conduit for blood constituent monitoring
US5117824A (en) 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5240009A (en) 1991-03-25 1993-08-31 Ventritex, Inc. Medical device with morphology discrimination
CA2106378A1 (fr) 1991-04-05 1992-10-06 Tom D. Bennett Systeme de detection sous-cutane multi-electrodes
US5490862A (en) 1991-04-12 1996-02-13 Adams; John M. Atrial defibrillator having patient activated modality
US6144879A (en) 1991-05-17 2000-11-07 Gray; Noel Desmond Heart pacemaker
US5217021A (en) 1991-07-30 1993-06-08 Telectronics Pacing Systems, Inc. Detection of cardiac arrhythmias using correlation of a cardiac electrical signals and temporal data compression
US5215098A (en) 1991-08-12 1993-06-01 Telectronics Pacing Systems, Inc. Data compression of cardiac electrical signals using scanning correlation and temporal data compression
US5193535A (en) 1991-08-27 1993-03-16 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof
US5423326A (en) 1991-09-12 1995-06-13 Drexel University Apparatus and method for measuring cardiac output
US5280792A (en) 1991-09-20 1994-01-25 The University Of Sydney Method and system for automatically classifying intracardiac electrograms
US5184616A (en) 1991-10-21 1993-02-09 Telectronics Pacing Systems, Inc. Apparatus and method for generation of varying waveforms in arrhythmia control system
FR2685210B1 (fr) 1991-12-23 1998-09-11 Ela Medical Sa Procede de controle automatique de la sensibilite, pour appareil implante de stimulation cardioversion et/ou defibrillation cardiaque, et appareil correspondant.
US5313953A (en) 1992-01-14 1994-05-24 Incontrol, Inc. Implantable cardiac patient monitor
JPH0621492Y2 (ja) 1992-02-07 1994-06-08 日本光電工業株式会社 心電図モニタ付除細動器
US5273049A (en) 1992-04-09 1993-12-28 Telectronics Pacing Systems, Inc. Detection of cardiac arrhythmias using template matching by signature analysis
US5685315A (en) 1992-12-01 1997-11-11 Pacesetter, Inc. Cardiac arrhythmia detection system for an implantable stimulation device
AU5205493A (en) 1992-12-01 1994-06-16 Siemens Aktiengesellschaft Cardiac event detection in implantable medical devices
US5342402A (en) 1993-01-29 1994-08-30 Medtronic, Inc. Method and apparatus for detection and treatment of tachycardia and fibrillation
US5351696A (en) 1993-04-23 1994-10-04 Medtronic, Inc. Method and apparatus for intracardiac electrogram morphologic analysis
US5400795A (en) 1993-10-22 1995-03-28 Telectronics Pacing Systems, Inc. Method of classifying heart rhythms by analyzing several morphology defining metrics derived for a patient's QRS complex
FR2712500B1 (fr) 1993-11-17 1996-02-09 Ela Medical Sa Procédé de commande automatique du seuil de détection du rythme cardiaque dans un appareil implantable.
US5447519A (en) 1994-03-19 1995-09-05 Medtronic, Inc. Method and apparatus for discrimination of monomorphic and polymorphic arrhythmias and for treatment thereof
US5470342A (en) 1994-04-12 1995-11-28 Pacesetter, Inc. Adaptive refractory period within implantable cardioverter-defibrillator
US5522852A (en) 1994-04-26 1996-06-04 Incontrol, Inc. Selective cardiac activity analysis atrial fibrillation detection system and method and atrial defibrillator utilizing same
US5486199A (en) 1994-07-20 1996-01-23 Kim; Jaeho System and method for reducing false positives in atrial fibrillation detection
US5534019A (en) 1994-12-09 1996-07-09 Ventritex, Inc. Cardiac defibrillator with case that can be electrically active or inactive
US5545186A (en) 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
US5607455A (en) 1995-05-25 1997-03-04 Intermedics, Inc. Method and apparatus for automatic shock electrode enabling
US5658317A (en) 1995-08-14 1997-08-19 Cardiac Pacemakers, Inc. Threshold templating for digital AGC
US5620466A (en) 1995-08-14 1997-04-15 Cardiac Pacemakers, Inc. Digital AGC using separate gain control and threshold templating
US5709215A (en) 1995-09-06 1998-01-20 Angeion Corporation R-wave detection method for implantable cardioverter defibrillators
US5558098A (en) 1995-11-02 1996-09-24 Ventritex, Inc. Method and apparatus for detecting lead sensing artifacts in cardiac electrograms
US5738104A (en) * 1995-11-08 1998-04-14 Salutron, Inc. EKG based heart rate monitor
US5776168A (en) 1996-04-03 1998-07-07 Medtronic, Inc. EGM recording system for implantable medical device
US5782774A (en) 1996-04-17 1998-07-21 Imagyn Medical Technologies California, Inc. Apparatus and method of bioelectrical impedance analysis of blood flow
US6058328A (en) 1996-08-06 2000-05-02 Pacesetter, Inc. Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof
US5857977A (en) 1996-08-08 1999-01-12 The Regents Of The University Of Michigan Method and apparatus for separation of ventricular tachycardia from ventricular fibrillation for implantable cardioverter defibrillators
US5702425A (en) 1996-08-13 1997-12-30 Pacesetter, Inc. Apparatus and method of noise classification in an implantable cardiac device
US5676690A (en) 1996-12-05 1997-10-14 Pacesetter Ab Apparatus for administering medical therapy using detrended fluctuation analysis of physiological activity
US5779645A (en) 1996-12-17 1998-07-14 Pacesetter, Inc. System and method for waveform morphology comparison
US5817134A (en) 1997-02-25 1998-10-06 Greenhut; Saul E. Apparatus and method for detecting atrial fibrillation by morphological analysis
US5755738A (en) 1997-04-22 1998-05-26 Cardiac Pacemakers, Inc. Automatic sensing level adjustment for implantable cardiac rhythm management devices
US6067471A (en) 1998-08-07 2000-05-23 Cardiac Pacemakers, Inc. Atrial and ventricular implantable cardioverter-defibrillator and lead system
US5827197A (en) 1997-11-14 1998-10-27 Incontrol, Inc. System for detecting atrial fibrillation notwithstanding high and variable ventricular rates
US6148230A (en) 1998-01-30 2000-11-14 Uab Research Foundation Method for the monitoring and treatment of spontaneous cardiac arrhythmias
US6556862B2 (en) 1998-03-19 2003-04-29 Cardiac Pacemakers, Inc. Method and apparatus for treating supraventricular tachyarrhythmias
US6029086A (en) 1998-06-15 2000-02-22 Cardiac Pacemakers, Inc. Automatic threshold sensitivity adjustment for cardiac rhythm management devices
US6052617A (en) 1998-07-01 2000-04-18 Cardiac Pacemakers, Inc. System and method for reliably detecting atrial events of a heart using only atrial sensing
US6041251A (en) 1998-07-01 2000-03-21 Cardiac Pacemakers, Inc. System and method for detecting atrial events of a heart
US5991657A (en) 1998-08-06 1999-11-23 Cardiac Pacemakers, Inc. Atrial cardioverter with window based atrial tachyarrhythmia detection system and method
US6047210A (en) 1998-09-03 2000-04-04 Cardiac Pacemakers, Inc. Cardioverter and method for cardioverting an atrial tachyarrhythmia while maintaining atrial pacing
US6308095B1 (en) 1999-02-12 2001-10-23 Cardiac Pacemakers, Inc. System and method for arrhythmia discrimination
US6266554B1 (en) 1999-02-12 2001-07-24 Cardiac Pacemakers, Inc. System and method for classifying cardiac complexes
US6223078B1 (en) 1999-03-12 2001-04-24 Cardiac Pacemakers, Inc. Discrimination of supraventricular tachycardia and ventricular tachycardia events
US6377844B1 (en) 1999-03-13 2002-04-23 Dave Graen R-wave detector circuit for sensing cardiac signals
US6115628A (en) 1999-03-29 2000-09-05 Medtronic, Inc. Method and apparatus for filtering electrocardiogram (ECG) signals to remove bad cycle information and for use of physiologic signals determined from said filtered ECG signals
US6324421B1 (en) 1999-03-29 2001-11-27 Medtronic, Inc. Axis shift analysis of electrocardiogram signal parameters especially applicable for multivector analysis by implantable medical devices, and use of same
US6240313B1 (en) 1999-04-19 2001-05-29 Cardiac Pacemakers, Inc. Cardiac rhythm management system with prevention of double counting of events
DE60029776T2 (de) 1999-05-12 2007-08-02 Medtronic, Inc., Minneapolis Überwachungsvorrichtung mit anwendung von wavelettransformationen zur herzrrhythmusanalyse
US6334071B1 (en) 1999-06-07 2001-12-25 Pacesetter, Inc. Minute volume pacemakers that require only a single distal electrode
US6236882B1 (en) 1999-07-14 2001-05-22 Medtronic, Inc. Noise rejection for monitoring ECG's
US6449503B1 (en) 1999-07-14 2002-09-10 Cardiac Pacemakers, Inc. Classification of supraventricular and ventricular cardiac rhythms using cross channel timing algorithm
US6230055B1 (en) 1999-08-20 2001-05-08 Cardiac Pacemakers, Inc. Method and apparatus for adaptive tachycardia and fibrillation discrimination
US6493579B1 (en) 1999-08-20 2002-12-10 Cardiac Pacemakers, Inc. System and method for detection enhancement programming
US7062314B2 (en) 1999-10-01 2006-06-13 Cardiac Pacemakers, Inc. Cardiac rhythm management device with triggered diagnostic mode
US6418343B1 (en) 1999-10-01 2002-07-09 Cardiac Pacemakers, Inc. Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device
US6411844B1 (en) 1999-10-19 2002-06-25 Pacesetter, Inc. Fast recovery sensor amplifier circuit for implantable medical device
US6516225B1 (en) 1999-12-28 2003-02-04 Pacesetter, Inc. System and method for distinguishing electrical events originating in the atria from far-field electrical events originating in the ventricles as detected by an implantable medical device
FR2803211B1 (fr) 1999-12-29 2002-02-22 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardiovecteur, comprenant des moyens d'elimination des artefacts de detection des evenements
US6699200B2 (en) 2000-03-01 2004-03-02 Medtronic, Inc. Implantable medical device with multi-vector sensing electrodes
US6567691B1 (en) 2000-03-22 2003-05-20 Medtronic, Inc. Method and apparatus diagnosis and treatment of arrhythias
US6493584B1 (en) 2000-09-08 2002-12-10 Pacesetter, Inc. Implantable cardiac stimulation device and method which discriminates between noise and cardiac activity
US7346392B2 (en) 2000-09-12 2008-03-18 Uab Research Foundation Method and apparatus for the monitoring and treatment of spontaneous cardiac arrhythmias
US6754528B2 (en) 2001-11-21 2004-06-22 Cameraon Health, Inc. Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator
US6721597B1 (en) 2000-09-18 2004-04-13 Cameron Health, Inc. Subcutaneous only implantable cardioverter defibrillator and optional pacer
US7194302B2 (en) 2000-09-18 2007-03-20 Cameron Health, Inc. Subcutaneous cardiac stimulator with small contact surface electrodes
US6647292B1 (en) 2000-09-18 2003-11-11 Cameron Health Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer
US7149575B2 (en) 2000-09-18 2006-12-12 Cameron Health, Inc. Subcutaneous cardiac stimulator device having an anteriorly positioned electrode
US6684100B1 (en) 2000-10-31 2004-01-27 Cardiac Pacemakers, Inc. Curvature based method for selecting features from an electrophysiologic signals for purpose of complex identification and classification
EP1584351A1 (fr) 2000-11-22 2005-10-12 Medtronic, Inc. Appareil de détection et de traitement de l'arythmie ventriculaire
US7062315B2 (en) 2000-11-28 2006-06-13 Medtronic, Inc. Automated template generation algorithm for implantable device
US6745068B2 (en) 2000-11-28 2004-06-01 Medtronic, Inc. Automated template generation algorithm for implantable device
US6708058B2 (en) 2001-04-30 2004-03-16 Cardiac Pacemakers, Inc. Normal cardiac rhythm template generation system and method
US6561984B1 (en) 2001-10-16 2003-05-13 Pacesetter, Inc. Assessing heart failure status using morphology of a signal representative of arterial pulse pressure
US6575912B1 (en) 2001-10-16 2003-06-10 Pacesetter, Inc. Assessing heart failure status using morphology of a signal representative of arterial pulse pressure
US6892092B2 (en) 2001-10-29 2005-05-10 Cardiac Pacemakers, Inc. Cardiac rhythm management system with noise detector utilizing a hysteresis providing threshold
US6708062B2 (en) 2001-10-30 2004-03-16 Medtronic, Inc. Pacemaker having adaptive arrhythmia detection windows
US6643549B1 (en) 2001-10-30 2003-11-04 Kerry Bradley Cardiac stimulation device and method for storing diagnostic data in an automatic capture system
US6625490B1 (en) 2001-11-14 2003-09-23 Pacesetter, Inc. System and method of automatically adjusting sensing parameters based on temporal measurement of cardiac events
US6836682B2 (en) * 2001-11-16 2004-12-28 Medtronic, Inc. Rate responsive pacing system with QT sensor based on intrinsic QT data
US7392085B2 (en) 2001-11-21 2008-06-24 Cameron Health, Inc. Multiple electrode vectors for implantable cardiac treatment devices
US7248921B2 (en) 2003-06-02 2007-07-24 Cameron Health, Inc. Method and devices for performing cardiac waveform appraisal
US7062322B2 (en) 2001-12-18 2006-06-13 Medtronic, Inc. Rhythm-based transition to discriminatory arrhythmia classification
US6909916B2 (en) 2001-12-20 2005-06-21 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia classification and electrode selection
US7184818B2 (en) 2002-03-25 2007-02-27 Cardiac Pacemakers, Inc. Method and system for characterizing a representative cardiac beat using multiple templates
US6889079B2 (en) 2002-04-12 2005-05-03 Cardiac Pacemakers, Inc. Method and system for characterizing supraventricular rhythm during cardiac pacing
US7020523B1 (en) 2002-04-16 2006-03-28 Pacesetter, Inc. Methods and systems for automatically switching electrode configurations
US7283863B2 (en) 2002-04-29 2007-10-16 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US7783354B2 (en) 2002-04-29 2010-08-24 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US6950702B2 (en) 2002-07-15 2005-09-27 Cardiac Pacemakers, Inc. Use of curvature based features for beat detection
US7027862B2 (en) 2002-07-25 2006-04-11 Medtronic, Inc. Apparatus and method for transmitting an electrical signal in an implantable medical device
US7027858B2 (en) * 2002-09-11 2006-04-11 Medtronic, Inc. Methods and apparatus for cardiac R-wave sensing in a subcutaneous ECG waveform
US7123954B2 (en) * 2002-09-19 2006-10-17 Sanjiv Mathur Narayan Method for classifying and localizing heart arrhythmias
US7027856B2 (en) 2002-09-30 2006-04-11 Medtronic, Inc. Method for determining a metric of non-sustained arrhythmia occurrence for use in arrhythmia prediction and automatic adjustment of arrhythmia detection parameters
US7085599B2 (en) 2002-10-23 2006-08-01 Cardiac Pacemakers, Inc. Characterization of supraventricular rhythm using collected cardiac beats
US7031764B2 (en) 2002-11-08 2006-04-18 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
US7016730B2 (en) 2002-11-15 2006-03-21 Cardiac Pacemakers, Inc. Method of operating implantable medical devices to prolong battery life
US7076289B2 (en) 2002-12-04 2006-07-11 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7191004B2 (en) 2002-12-31 2007-03-13 Cardiac Pacemakers, Inc. Capture verification using an evoked response reference
US7162301B2 (en) 2002-12-31 2007-01-09 Cardiac Pacemakers, Inc. Method and system for detecting capture with cancellation of pacing artifact
US7218966B2 (en) 2003-04-11 2007-05-15 Cardiac Pacemakers, Inc. Multi-parameter arrhythmia discrimination
US7499750B2 (en) 2003-04-11 2009-03-03 Cardiac Pacemakers, Inc. Noise canceling cardiac electrodes
US7570997B2 (en) 2003-04-11 2009-08-04 Cardiac Pacemakers, Inc. Subcutaneous cardiac rhythm management with asystole prevention therapy
US20040220628A1 (en) 2003-04-11 2004-11-04 Wagner Darrell Orvin Subcutaneous defibrillation timing correlated with induced skeletal muscle contraction
US20040215240A1 (en) 2003-04-11 2004-10-28 Lovett Eric G. Reconfigurable subcutaneous cardiac device
US7117035B2 (en) 2003-04-11 2006-10-03 Cardiac Pacemakers, Inc. Subcutaneous cardiac stimulation system with patient activity sensing
US7865233B2 (en) 2003-04-11 2011-01-04 Cardiac Pacemakers, Inc. Subcutaneous cardiac signal discrimination employing non-electrophysiologic signal
US20040230229A1 (en) 2003-04-11 2004-11-18 Lovett Eric G. Hybrid transthoracic/intrathoracic cardiac stimulation devices and methods
US7236819B2 (en) 2003-04-11 2007-06-26 Cardiac Pacemakers, Inc. Separation of a subcutaneous cardiac signal from a plurality of composite signals
US7555335B2 (en) 2003-04-11 2009-06-30 Cardiac Pacemakers, Inc. Biopotential signal source separation using source impedances
US7979122B2 (en) 2003-04-11 2011-07-12 Cardiac Pacemakers, Inc. Implantable sudden cardiac death prevention device with reduced programmable feature set
US7302294B2 (en) 2003-04-11 2007-11-27 Cardiac Pacemakers, Inc. Subcutaneous cardiac sensing and stimulation system employing blood sensor
US7369893B2 (en) 2004-12-01 2008-05-06 Medtronic, Inc. Method and apparatus for identifying lead-related conditions using prediction and detection criteria
US7103412B1 (en) 2003-05-02 2006-09-05 Pacesetter, Inc. Implantable cardiac stimulation device and method for detecting asymptomatic diabetes
US7167747B2 (en) 2003-05-13 2007-01-23 Medtronic, Inc. Identification of oversensing using sinus R-wave template
CN1819855A (zh) 2003-05-13 2006-08-16 萨瓦柯公司 检测、诊断和治疗心血管疾病的系统和方法
US7477932B2 (en) * 2003-05-28 2009-01-13 Cardiac Pacemakers, Inc. Cardiac waveform template creation, maintenance and use
US7792571B2 (en) 2003-06-27 2010-09-07 Cardiac Pacemakers, Inc. Tachyarrhythmia detection and discrimination based on curvature parameters
US8825157B2 (en) 2003-07-28 2014-09-02 Cameron Health, Inc. Vector switching in an implantable cardiac stimulus system
US20050107838A1 (en) 2003-09-18 2005-05-19 Lovett Eric G. Subcutaneous cardiac rhythm management with disordered breathing detection and treatment
EP1696998B1 (fr) 2003-11-07 2017-01-11 CardioLa Ltd. Apparéil d'électrothérapie a contre-impulsions pour traiter une personne ou un mammifère
US7319900B2 (en) * 2003-12-11 2008-01-15 Cardiac Pacemakers, Inc. Cardiac response classification using multiple classification windows
US7930024B2 (en) 2004-01-08 2011-04-19 Medtronic, Inc. Reducing inappropriate delivery of therapy for suspected non-lethal arrhythmias
US7184815B2 (en) 2004-02-26 2007-02-27 Cardiac Pacemakers, Inc. System and method for selection of morphology templates
US7386342B1 (en) 2004-09-08 2008-06-10 Pacesetter, Inc. Subcutaneous cardiac stimulation device providing anti-tachycardia pacing therapy and method
US7797036B2 (en) 2004-11-30 2010-09-14 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring for ischemia detection
US7447540B1 (en) 2004-11-24 2008-11-04 Pacesetter, Inc. Systems and methods for detection of VT and VF from remote sensing electrodes
US7477935B2 (en) 2004-11-29 2009-01-13 Cameron Health, Inc. Method and apparatus for beat alignment and comparison
US7266409B2 (en) 2004-12-01 2007-09-04 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US7496408B2 (en) 2004-12-03 2009-02-24 Medtronic, Inc. Electrodes array for a pacemaker
US7655014B2 (en) 2004-12-06 2010-02-02 Cameron Health, Inc. Apparatus and method for subcutaneous electrode insertion
US7996072B2 (en) 2004-12-21 2011-08-09 Cardiac Pacemakers, Inc. Positionally adaptable implantable cardiac device
US8229563B2 (en) 2005-01-25 2012-07-24 Cameron Health, Inc. Devices for adapting charge initiation for an implantable cardioverter-defibrillator
US8160697B2 (en) 2005-01-25 2012-04-17 Cameron Health, Inc. Method for adapting charge initiation for an implantable cardioverter-defibrillator
US7546159B1 (en) 2005-03-14 2009-06-09 Pacesetter, Inc. Subcutaneous cardiac stimulation device, system, and method providing accelerated arrhythmia detection verification and transient rate compensation
US7567835B2 (en) 2005-04-18 2009-07-28 Medtronic, Inc. Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
US7559900B2 (en) 2005-04-22 2009-07-14 Medtronic, Inc. Cardiac sensing and detection using subcutaneous ECG signals and heart sounds
US7991467B2 (en) 2005-04-26 2011-08-02 Medtronic, Inc. Remotely enabled pacemaker and implantable subcutaneous cardioverter/defibrillator system
US7684864B2 (en) 2005-04-28 2010-03-23 Medtronic, Inc. Subcutaneous cardioverter-defibrillator
US7593771B2 (en) 2005-06-21 2009-09-22 Cardiac Pacemakers, Inc. Post-shock management of implantable cardiac device features
US8116867B2 (en) 2005-08-04 2012-02-14 Cameron Health, Inc. Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
US20070049975A1 (en) 2005-09-01 2007-03-01 Cates Adam W Active can with dedicated defibrillation and sensing electrodes
EP1774907A1 (fr) * 2005-10-12 2007-04-18 Jetfly Technology Limited Méthode et appareil de mesure du rythme cardiaque
US20070135847A1 (en) 2005-12-12 2007-06-14 Kenknight Bruce H Subcutaneous defibrillation system and method using same
US8532762B2 (en) 2005-12-20 2013-09-10 Cardiac Pacemakers, Inc. Discriminating polymorphic and monomorphic cardiac rhythms using template generation
CN1985750B (zh) * 2005-12-21 2011-03-23 深圳迈瑞生物医疗电子股份有限公司 一种利用心跳象征信号检测脉搏波的方法及装置
US20070156190A1 (en) 2005-12-30 2007-07-05 Can Cinbis Subcutaneous ICD with motion artifact noise suppression
US8478399B2 (en) 2006-01-31 2013-07-02 Paul J. Degroot Method and apparatus for controlling arrhythmia detection and treatment based on patient posture
US8050759B2 (en) 2006-01-31 2011-11-01 Medtronic, Inc. Subcutaneous ICD with separate cardiac rhythm sensor
US7941214B2 (en) 2006-03-29 2011-05-10 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US7734345B2 (en) 2006-03-29 2010-06-08 Medtronic, Inc. Method and system for aborting cardiac treatments
US7991471B2 (en) 2006-03-29 2011-08-02 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US7496409B2 (en) 2006-03-29 2009-02-24 Medtronic, Inc. Implantable medical device system and method with signal quality monitoring and response
US7894894B2 (en) 2006-03-29 2011-02-22 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US8160684B2 (en) 2006-03-29 2012-04-17 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US8788023B2 (en) 2006-05-26 2014-07-22 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device
US8200341B2 (en) 2007-02-07 2012-06-12 Cameron Health, Inc. Sensing vector selection in a cardiac stimulus device with postural assessment
US7623913B2 (en) 2006-08-01 2009-11-24 Cameron Health, Inc. Implantable medical devices using heuristic filtering in cardiac event detection
CN1915166A (zh) * 2006-08-15 2007-02-21 武汉大学 一种基于平板运动心电图的心脏恢复性质检测的方法
US8014851B2 (en) 2006-09-26 2011-09-06 Cameron Health, Inc. Signal analysis in implantable cardiac treatment devices
US8983598B2 (en) 2006-10-04 2015-03-17 Cardiac Pacemakers, Inc. System for neurally-mediated anti-arrhythmic therapy
US7623916B2 (en) 2006-12-20 2009-11-24 Cameron Health, Inc. Implantable cardiac stimulus devices and methods with input recharge circuitry
US20080161870A1 (en) 2007-01-03 2008-07-03 Gunderson Bruce D Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
WO2008086106A1 (fr) 2007-01-03 2008-07-17 Medtronic, Inc. Procédé et appareil de réduction d'une détection inappropriée du bruit lié à la sonde
US8540642B2 (en) 2007-01-31 2013-09-24 Medtronic, Inc. Implantable medical device and method for physiological event monitoring
US20080228093A1 (en) 2007-03-13 2008-09-18 Yanting Dong Systems and methods for enhancing cardiac signal features used in morphology discrimination
US20080243200A1 (en) 2007-03-26 2008-10-02 Scinicariello Anthony P Methods and apparatus for enhancing specificity of arrhythmia detection using far-field sensing and intracardiac sensing of cardiac activity
US7904153B2 (en) 2007-04-27 2011-03-08 Medtronic, Inc. Method and apparatus for subcutaneous ECG vector acceptability and selection
US7937135B2 (en) 2007-05-01 2011-05-03 Medtronic, Inc. Method and apparatus for adjusting a sensing parameter
US8068901B2 (en) 2007-05-01 2011-11-29 Medtronic, Inc. Method and apparatus for adjusting a sensing parameter
US8095206B2 (en) 2007-05-01 2012-01-10 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US7774049B2 (en) 2007-05-01 2010-08-10 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US7904142B2 (en) 2007-05-16 2011-03-08 Cardiac Pacemakers, Inc. Self-adjusting ECG morphological feature correlation threshold
US7715906B2 (en) 2007-06-04 2010-05-11 Medtronic, Inc. Method and apparatus for detecting noise in an implantable medical device
US7682316B2 (en) 2007-07-23 2010-03-23 Medtronic, Inc. Implantable heart sound sensor with noise cancellation
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
JP5308443B2 (ja) 2007-08-23 2013-10-09 キャメロン ヘルス、 インコーポレイテッド 込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置
US7801594B1 (en) 2007-10-22 2010-09-21 Pacesetter, Inc. Morphology discrimination based on inflection point-related information
US8340768B2 (en) 2007-12-12 2012-12-25 Cardiac Pacemakers, Inc. Sensing threshold control to limit amplitude tracking
JP5129862B2 (ja) 2007-12-12 2013-01-30 カーディアック ペースメイカーズ， インコーポレイテッド 痛みを伴わない非刺激的インピーダンス測定回路を有する装置
WO2009078942A2 (fr) 2007-12-13 2009-06-25 Cardiac Pacemakers, Inc. Circuit de sortie de chocs de défibrillation
US8185203B2 (en) 2007-12-14 2012-05-22 Cardiac Pacemakers, Inc. Vector configuration detection and corrective response systems and methods
WO2009092055A1 (fr) 2008-01-18 2009-07-23 Cameron Health, Inc. Manipulation de données après l'administration d'une stimulation cardiaque dans un dispositif de stimulation cardiaque implantable
EP2268358B1 (fr) 2008-03-07 2013-05-22 Cameron Health, Inc. Detection d'evenement cardiaque aigu dans un dispositif de stimulation cardiaque implantable
ES2605653T3 (es) 2008-03-07 2017-03-15 Cameron Health, Inc. Dispositivos para clasificar con precisión la actividad cardiaca
DE602008005841D1 (de) 2008-03-18 2011-05-12 Biotronik Crm Patent Ag Vorrichtung und computerlesbarer Datenträger zur SVT- und VT-Klassifizierung
US8090434B2 (en) 2008-03-18 2012-01-03 Biotronik Crm Patent Ag Device, method and computer-readable storage medium for enhanced sense event classification in implantable devices by means of morphology analysis
AU2009244153B2 (en) 2008-05-07 2014-03-13 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8483841B2 (en) 2008-12-12 2013-07-09 Cameron Health, Inc. Electrode spacing in a subcutaneous implantable cardiac stimulus device
US8428697B2 (en) 2009-01-22 2013-04-23 Medtronic, Inc. “Blurred template” approach for arrhythmia detection
EP2459275B1 (fr) 2009-06-29 2018-01-10 Cameron Health, Inc. Confirmation adaptative d'une arythmie traitable dans des dispositifs de stimulation cardiaque implantables
US8265737B2 (en) 2009-10-27 2012-09-11 Cameron Health, Inc. Methods and devices for identifying overdetection of cardiac signals
US8744555B2 (en) 2009-10-27 2014-06-03 Cameron Health, Inc. Adaptive waveform appraisal in an implantable cardiac system
EP3554208B1 (fr) 2018-04-11 2021-05-26 Salcomp Oyj Dispositif de montage de composant électronique et procédé d'établissement de dispositif de montage de composant électronique

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5891048A (en) * 1996-06-18 1999-04-06 Biotronik Mess- Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin Signal detector
US7330757B2 (en) * 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
US20060116595A1 (en) * 2004-11-29 2006-06-01 Cameron Health, Inc. Method for defining signal templates in implantable cardiac devices

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8565878B2 (en) 2008-03-07 2013-10-22 Cameron Health, Inc. Accurate cardiac event detection in an implantable cardiac stimulus device
US8588896B2 (en) 2008-03-07 2013-11-19 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8626280B2 (en) 2008-03-07 2014-01-07 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8929977B2 (en) 2008-03-07 2015-01-06 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US9162074B2 (en) 2008-03-07 2015-10-20 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US9339662B2 (en) 2008-03-07 2016-05-17 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8600489B2 (en) 2008-05-07 2013-12-03 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US8880161B2 (en) 2008-05-07 2014-11-04 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
US9265432B2 (en) 2008-05-07 2016-02-23 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity

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CN102056646B (zh) 2015-10-21
US11413468B2 (en) 2022-08-16
EP2268358B1 (fr) 2013-05-22
AU2009221694A1 (en) 2009-09-11
US20140046394A1 (en) 2014-02-13
US20090228057A1 (en) 2009-09-10
US8565878B2 (en) 2013-10-22
CA2717442C (fr) 2017-11-07
WO2009111764A2 (fr) 2009-09-11
US20180021590A1 (en) 2018-01-25
AU2009221694B2 (en) 2013-09-26
JP5457376B2 (ja) 2014-04-02
US9802056B2 (en) 2017-10-31
CA2717442A1 (fr) 2009-09-11
JP2011528238A (ja) 2011-11-17
CN102056646A (zh) 2011-05-11
EP2268358A2 (fr) 2011-01-05
ES2416184T3 (es) 2013-07-30

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